Routine inspection·February 8, 2023

On 02/08/2023, Licensing Program Analyst (LPA) V Gorban arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit to caregiver Grace Lopez, and requested to meet with administrator. Administrator Cleo Ramirez arrived shortly. LPA conducted a facility walk with Administrator Cleo Ramirez. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed fire extinguisher served date: 02/15/22. All resident’s room toured and observed to be adequately furnished and lit. LPA observed five single occupant rooms and one vacant bedroom. All bathrooms are observed with securely fastened grab bars and non-skid mat. LPA observed bathrooms trash bin with lid. Hand washing posting observed by bathroom sinks. LPA checked residents’ locked medications. LPA observed small amount of PPE supplies in facility. Cleaning supplies were stored and locked in laundry room. No deficiencies were observed. LPA provided the source to Title 22 and PINs update information. LPAs are requesting the following documents to be provided to the Fresno CCL office by 02/28/2023: Current copy Of: LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. An exit interview was conducted with Administrator. Report signed on-site by Administrator and printed copy provided for facility records.